Kintegra/Sha At Mineral Springs
LBN: Gaston Family Health Services, Inc.
Kintegra/Sha At Mineral Springs is an health care organization with primary practice located at 4555 Ogburn Ave , Winston Salem NC 27105-2726. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Student Health. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Gaston Family Health Services, Inc. can be contacted via phone (336) 703-4273, or through Anderson, Sharmila via phone (704) 874-1907.
Contact Information
Primary practice address
4555 Ogburn Ave
Winston Salem NC 27105-2726
Phone: (336) 703-4273
Fax: (336) 661-4954
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Ambulatory Health Care Facilities / Student Health | 261QS1000X |
Profile Details
| NPI number | 1154453496 |
|---|---|
| LBN Legal business name | Gaston Family Health Services, Inc. |
| DBA Doing business as | Kintegra/Sha At Mineral Springs |
| Authorized official | Anderson, Sharmila |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Mar 12th, 2007 |
| Last updated | Jan 15th, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154453496 | NPPES |
| North Carolina | MEDICAID | 89011N0 | |
| North Carolina | MEDICAID | 8701701 |
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